| NPI | 1215477526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |